DALTON OUTPATIENT CENTER DAL DIAGNOSTIC ASSOC LP; NPI #1588750947

Contact Information

DALTON OUTPATIENT CENTER DAL DIAGNOSTIC ASSOC LP

1502 NORTH THORNTON AVE
DALTON, GA 30720

Phone: 706-278-9729
Fax: 706-226-9378
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for DALTON OUTPATIENT CENTER DAL DIAGNOSTIC ASSOC LP

NPI # 1588750947

LBN Legal business name DALTON OUTPATIENT CENTER DAL DIAGNOSTIC ASSOC LP

Authorized official JOHN CHURCH - (RADIOLOGIST GENERAL PARTNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/05/2006

Last updated 08/01/2007 - About 19 years ago

Identifiers

GA	Medicaid	00248245F
GA	Other	CM5117	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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